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HHS/CMS RIN: 0938-AQ67 Publication ID: 2012 
Title: Establishment of Exchanges and Qualified Health Plans Part I (CMS-9989-F) 
Abstract: This rule implements the new Affordable Insurance Exchanges ("Exchanges"), consistent with title I of the Affordable Care Act of 2010, referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 45 CFR 155 to 157   
Legal Authority: Affordable Care Act, secs 1301 to 1343, secs 1401 to 1413   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2014 
Timetable:
Action Date FR Cite
NPRM  07/15/2011  76 FR 41866   
NPRM Comment Period End  09/28/2011    
Final Action  03/27/2012  77 FR 18310   
Final Action Effective  05/29/2012 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State, Tribal 
Small Entities Affected: Businesses, Governmental Jurisdictions  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Alissa DeBoy
Department of Health and Human Services
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:301 492-4428
Email: alissa.deboy@cms.hhs.gov